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The purpose of this paper, a qualitative study, is to explore service users’ experiences of attending clinical psychology within a public community adult mental health service.

Six individuals who had completed at least 16 sessions of psychotherapy participated in semi-structured interviews. Data were transcribed and analysed using interpretative phenomenological analysis.

The results showed the following overarching domains: the relationship and its impacts, structure and focus, and participant factors – timing/readiness. The importance of the use of language was also identified. Participants appeared to value a sense of humanity within the relationship. Interestingly, the personal impact of therapy as perceived by the participants was not focussed on symptom reduction, but on broader changes. The results are discussed in relation to the relevant literature.

Suggested principles for practice include maintaining attentiveness to relational factors, to client factors such as readiness for change and to the use of structure and flexibility. The use of recovery focussed and alliance measures are recommended.

For clinical psychologists providing psychotherapy within the public system, there are valuable lessons we can learn from asking the service users directly about their experiences, in terms of focussing on the human element of the relationship, and striking a balance between professionalism and humanity.

Alison Curtis, Joseph Matthews, Dan Haverkamp, Charles Farley, and James Michael offer their comments on the future of library automation from their perspective as vendors. This forum updates a similar symposium published four years earlier. When read in tandem, the 1985 forum and the 1989 version cover most of the same technologies (CD‐ROM, OPACs, gateways, but not expert systems and FAX) and issues (standards, co‐operation, money) but there is a difference. It is one of emphasis. In 1985 the emphasis seemed to be on the potential of new technologies to solve problems. Today the emphasis is more on the problems to be encountered and conquered if these technologies are to reach their real potential.

This paper aims to explore the intersection of disability and accounting employment.

The paper uses oral history accounts of 12 disabled accountants. The authors investigate narrators' experiences of being disabled people and professional accountants, identify the barriers they encounter in professional employment, and how they (re)negotiate professional work.

The narrators' accounts are complex and diverse. The narratives record a discourse of success, offset by the consistent identification of social and environmental barriers relating to limited opportunities, resources, and support.

The paper develops the limited research on the relationship between disability and the accounting profession, expands the limited literature on disabled professionals' experience of work, provides voice for disabled accountants, adds to the limited oral histories available within accounting, and augments the accumulated literature considering the accounting profession and minorities.

This case study investigated how a collaborative, interdisciplinary partnership supported pre-service teachers’ approach to integrating content and pedagogy in coursework and field-based experiences at a large, public university. The collaboration involved articulating shared goals and objectives, planning and teaching co-requisite courses, and sharing a vision of shaping future social studies teachers. The research questions that framed this study were: What elements contributed to a successful collaborative, interdisciplinary partnership? How did faculty involved in the collaboration conceptualize supporting pre-service teachers’ development of pedagogical content knowledge (PCK)? The voices of the faculty members involved in this collaboration are highlighted to illustrate how they conceptualized meeting the needs of pre-service social studies teachers. Findings included identifying the constraints and benefits of partnerships as well as contributing factors to a successful interdisciplinary partnership. Identifying the evolving definition and role of PCK in the training of future social studies teachers is also addressed.

Having an ageing population is an issue facing many countries, particularly western nations. With governments and service providers focusing on healthy ageing and ageing in place, notions of choice and active participation for older people in selecting services appropriate to remaining in the community are also emphasised. Central to this is the issue of information navigation: knowing what services are available and how to get that information, for older people and those who support them. Based on a series of qualitative studies of service provision and using perspectives from older people, their families and those who provide services for them, this paper argues that greater attention needs to be paid to the process of information navigation as opposed to providing ever more information content.

Support, time and recovery (STR) workers are in the vanguard of the new frontline, non‐professionally affiliated groups identified in the NHS Plan (Department of Health, 2000).Since 2003, the former changing workforce programme mental health team (now part of NIMHE's national workforce programme) have facilitated the implementation of this role across England, initially through a pilot project, then an accelerated development programme (ADP). It is this latter, ongoing, programme that forms the basis of this article. The authors refer to the challenge of establishing the STR worker role in a variety of statutory, non‐statutory and independent service settings and achieving the Department of Health (DH) target of 3000 STR workers in post by December 2006. The collaborative implementation process is discussed and many issues such as performance management, measures, service user involvement, organisational (including human resources and occupational health) support, and education and training, are explored. Key learning from the process is identified, and consideration given to the future application of such a simple yet effective model for change.

The scale of current demand on primary care services from people seeking help with common mental health problems places enormous pressure on the existing front line workers in general practice. The paucity of training opportunities and competing pressures to deliver improved services across a range of general practice targets remains a major challenge for primary care professionals. The impact of government policy, to improve both access to and choice of treatments, has raised public expectations.The commissioning of the graduate workforce, the graduate worker in primary care mental health (GWPCMH), commenced in 2002, in response to the publication of target numbers detailed in the Priorities and Planning Framework, (DoH, 2002). It signalled a determination to expand the workforce provision and improve the quality of care for service users with common mental health problems.This paper examines the scale of common mental health problems, the policy response and the commissioning process. Particular attention is given to examining the barriers that have been shown to affect implementation, identifying the key influencers and the resources required to train these workers.

The purpose of this paper is to describe family intervention (FI) with four families in which the service user is under the care of forensic mental health services. There is a focus on identifying how systemic practice is used or adapted in working with families who have a family member who has presented risk and caused harm.

Four case studies are used to provide a basis for the exploration of commonalities in practice between the cases and the utility of FI within forensic services, which have the dual purpose of promoting mental health recovery and reducing offending/risk behaviour.

Family work can be a key healing tool in the recovery journey of forensic service users and their families. An integrated systemic and psycho-educational FI approach was found to be appropriate in the cases described. Issues particular to forensic services are identified; these include the role of safety planning; the function of talking about the history of trauma in the family including the impact of offending behaviour; mediating difficult relationships between family members and professionals; and overcoming barriers to having difficult and emotive conversations.

The absence of outcome assessments limits the findings to observational data and self-reported experiences from the authors.

FI can be safely and effectively used within forensic settings, facilitated by practitioners competent in working with trauma and complexity, as an integrated component of the therapeutic treatment.

There are recognised barriers to the provision of FI within forensic settings, with limited research regarding the application of such therapies with forensic patients and their families. This paper adds to the small pool of knowledge regarding useful applications of FI in such settings.